I-Pel-Ebstein ingenye yamaphethini amaningi omkhuhlane aqashelwa odokotela
I-Pel-Ebstein iyi-fever high-grade eqhubekayo ekhuphuka futhi ewela zonke izinsuku ezingu-7-10 noma ngaphezulu. Umkhuhlane uphuthuma ngokungazelelwe, uhlala isikhathi esingaphezu kweviki noma ngaphezulu bese usondela eduze nokujwayelekile ngokuphindaphindiwe, uhlala phansi cishe ngesonto. Khona-ke lokhu kuphakama nokuwa kwephethini kuphindaphindiwe futhi. Ngakho-ke, odokotela badinga ukwazi ukuthi izinga lokushisa lomuntu lenzani ngaphezu kwamasonto ambalwa ukuze kutholakale i-Pel-Ebstein fever.
Akuzona zonke iziguli ezine-Hodgkin isifo sephethini. Eqinisweni, kuphela abambalwa abanalo leli phethini eliqondile. Kodwa-ke, uma ikhona, ingaba yinkomba eqondile yokuphenya nge- Hodgkin lymphoma ingase ibe efanele.
I-fever ingenye yezibonakaliso ezimbalwa ezibalulekile ze -Hodgkin lymphoma, eyaziwa nangokuthi isifo se-Hodgkin. Lesi sibonelo somkhuhlane sabizwa ngokuthi odokotela ababili baseYurophu, uPieter Pel noWilhelm Ebstein, abaqaphele futhi babika iphethini eminyakeni engaphezu kwekhulu leminyaka.
Okuningi ku-Pel-Ebstein Fever
Umkhuhlane omdala ohamba phambili ubonakala kumaphesenti angama-35 abantu abaneHodgkin lymphoma; Kodwa i-Pel-Ebstein fever-high fever yamaviki angu-1-2, elandelwa ukungabi nomkhuhlane wamaviki angu-1-2-ibonakala ingavamile eHodgkin lymphoma.
UWilliam Ebstein wayengumdokotela waseJalimane nomhlengikazi wachaza okuthile okuthiwa "i-pyrexia ephumayo eyenzeka e-lymphadenoma" ngo-1887. UPieter Klazes Pel wayechazile lesi simo esenzeka ngeHodgkin lymphoma ezinyangeni ezimbalwa ngaphambili encwadini efanayo, ngaleyo ndlela igama elithi Pel-Ebstein fever.
Kusukela ngaleso sikhathi, sekukhona ukungqubuzana mayelana nokuthi kaningi kangakanani i-Pel-Ebstein fever eyenzeka eHodgkin lymphoma. Abanye baye basikisela ukuthi, ngenxa yokuthi igama lomkhuhlane lisekelwe emlandweni, abafundi bezokwelapha bangase bazijwayele ukuxhumanisa kwe-Pel-Ebstein ku- Hodgkin lymphoma kunokuba kufanelekile, ngokusekelwe ubuthakathaka obuthile bobudlelwane.
Noma kunjalo, ama-fever periodic in the lymphomas aqoshiwe kahle ezincwadini zezokwelapha. Nasi indaba elandelwa kusukela ku-1995 umbiko "eNew England Journal of Medicine" oqale wabonisa igrafu lokushisa komuntu lo, ukukhipha amazinga okushisa aphezulu nokujwayelekile kwizinkambo, ngaphezu kwamasonto:
Umbiko wezehlakalo:
Indoda eneminyaka engu-50 ubudala yayine-fever, izithukuthuku ebusuku, nokukhwehlela okungenakukhiqiza amaviki angu-10. Wathatha imishanguzo yokulwa nomkhuhlane ngesikhathi se-febrile. Umkakhe wabhala izinga lokushisa ngezinsuku ezingama-56 ezinsukwini ezingu-71. Ukuphika kwesifo somlomo womlomo wesibeletho esikhulisa ngokushesha kuveze ukuthi i-Hodgkin's lymphoma i-nodular sclerosing. Umkhuhlane wesiguli kanye nezinye izimpawu zanyamalala ngokushesha ngemuva komjikelezo wokuqala we-chemotherapy.
Okuningi kumaphethini we-Fever
Amaphethini omkhuhlane achazwe kuzo zonke izinhlobo zemibandela ehlukene, okungaba umthombo wokudideka-isib. Imfiva emaphakathi, imfiva elahliwe, imfiva eqhubekayo, imfiva ephindaphindiwe, njll. Kwamacala amaningi, la maphethri angaphakamisa kodwa angacacisi kunoma yikuphi isifo esithile. Kodwa-ke, nansi amaphethini odokotela abathile abhekana nawo:
Ukubuyela emuva kwemifudu ngezikhathi lapho iziguli ezingenayo imfiva yosuku olulodwa noma ngaphezulu phakathi kweziqephu ze- fever zingabonakala nge-malariya , i-rat-bite fever, ukutheleleka kwe-Borrelia - udumo lwe-Lyme nesifo se- lymphoma.
Iziqephu eziphindaphindiwe zomkhuhlane ngezikhathi ezinyangeni eziyisithupha zingaphakamisa isethi ehlukene yezifo, kuhlanganise ne- immunodeficiency states .
Ukuthola ukuthi yini ebangela umkhuhlane ophikelela kwezinye izimo inqubo eyinkimbinkimbi kakhulu. Ungafunda kabanzi ngalesi sihloko kumkhuhlane wemvelaphi engaziwa, ye-FUO .
> Imithombo:
> Imihlahlandlela ye-NCCN yezokwelapha emitholampilo ku-Oncology: i-Hodgkin Lymphoma. Inguqulo 2.2015. I-National Comprehensive Cancer Network.
> Eichenauer DA, Engert A, André M, Federico M, Illidge T, Hutchings M, et al. I-Hodgkin's lymphoma: Iziqondiso ze-ESMO Clinical Practice zokuxilongwa, ukwelashwa > kanye nokulandela. Ann Oncol . Ngomhla ka-2014 Septhemba 25 Isibonelelo 3: iii70-5
> Schattner A, Keshet N. I-Pel-Ebstein fever fever: hhayi nje i-lymphoma. Am J Med. 2010; 123 (7): e3.
> Racchi O, Rapezzi D, Ferraris AM, Gaetani GF. Umnkantsha ongavamile we-bone of Hodgkin isifo se-Pel-Ebstein fever ejwayelekile. Ann Hematol . 1996; 73: 39-40.
> Okuhle G, i-DiNubile M. Cyclic Fever ku-Hodgkin's (Epel-Ebstein Fever). N Engl J Med . 1995; 332: 436.